{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:31:11Z","timestamp":1791815471275,"version":"4.3.4"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T00:00:00Z","timestamp":1624924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T00:00:00Z","timestamp":1624924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Head Face Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oral rehabilitation of the atrophic mandible is, most of the time, a challenging procedure, especially in elderly patients with associated comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>This clinical report describes the rehabilitation of an extremely atrophic mandible using an overdenture supported by four splinted implants, two of which are placed in the interforaminal region and the other two bypassing the inferior alveolar nerve at the level of the antegonial notch. A passive-fit bar structure splinting the four inserted implants was designed to compensate for mandibular flexure, to reduce the amount of strain on the implants, and avoid bone resorption and prosthetic failure. The 14-month postoperative cone-beam computed tomography (CBCT) and the clinical follow-up showed the bilateral integrity of the inferior alveolar nerve and the successful restoration of the atrophic edentulous mandible with a significant improvement in the patient\u2019s quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The applied technique depicts several benefits such as a minimally invasive approach, reduced number of surgical interventions, reduced total treatment time, reduced treatment costs, and higher psychological acceptability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13005-021-00274-2","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T02:02:41Z","timestamp":1624932161000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Rehabilitation of extremely atrophic edentulous mandible in elderly patients with associated comorbidities: a case report and proof of concept"],"prefix":"10.1186","volume":"17","author":[{"given":"Iulian","family":"Filipov","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucian","family":"Chirila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corina Marilena","family":"Cristache","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,6,29]]},"reference":[{"issue":"60 Suppl","key":"274_CR1","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1111\/adj.12282","volume":"1","author":"J Dudley","year":"2015","unstructured":"Dudley J. Implants for the ageing population. Aust Dent J. 2015;1(60 Suppl):28\u201343. https:\/\/doi.org\/10.1111\/adj.12282.","journal-title":"Aust Dent J"},{"issue":"4","key":"274_CR2","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.prosdent.2019.03.024","volume":"123","author":"F Gon\u00e7alves","year":"2020","unstructured":"Gon\u00e7alves F, Campestrini VLL, Rigo-Rodrigues MA, Zanardi PR. Effect of the attachment system on the biomechanical and clinical performance of overdentures: A systematic review. J Prosthet Dent. 2020;123(4):589\u201394. https:\/\/doi.org\/10.1016\/j.prosdent.2019.03.024.","journal-title":"J Prosthet Dent"},{"issue":"2","key":"274_CR3","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1111\/j.1365-2842.2009.02039.x","volume":"37","author":"GE Carlsson","year":"2010","unstructured":"Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation. A critical review. 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Patient signed informed consent form for the treatment provided.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent has been obtained from the patient to publish this paper.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare they have not competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Comepting interests"}}],"article-number":"22"}}